鼻アレルギーの種々相について

　Ⅰ　近來，アレルギー學の擡頭により種々の鼻疾患にも，アレルギーの關與が注目され，殊に歐米では，枯草熱，その他の所謂アレルギー性疾患と見なされるものが非常に多い爲，種々注目すべき發表があり，慢性副鼻腔炎，肥厚性鼻炎，鼻茸等との關係についても多くの報告が見られている。

　しかしながら，之等の報告と，本邦に於いて我我が接する患者の所見とを比較すると，歐米に見られる如き定型的なアレルギー性鼻疾患は非常に稀であり，ここに，歐米の學説を直ちにとり入れて本邦患者にあてはめてみる前に，再検討をする事が必要と思われるので，以下これについて考察を進め，諸家の御批判を乞う次第である。

NIHO states that, in his opinion, the ques-tion of relation of chronic sinusitis to allergic manifestations in this country resolves itself to that of production of alleagy which is bacterial in origin or due to its bi-product the both of which being, either, the cause or effects of chronic sinusitis. This condition widely differ from its counterpart that seems to exist in the United States, where consensus of opinion is that, where chronic sinusitis appears to be the product the result of irritations caused by presence of hay fever and other relaied allerg-ies. Seasonal recurrence of nasal allergy like a hay fever in this country is rarely met with; even in those who are affected with chronic sinusitis, symptoms are rarely aggravated by seasonal effects. Consequently, the author states that, in treatment of these cases, atten-tion should be given towards elimination of focus of infections in the paranasal sinuses by means of chemotherapy (antihistaminics) and/or operative measures and that which might be directed only towards allergy would be second-ary in importance.